The lack of natural processes of delivery and neonatal intensive care treatment lead to impaired cytokine responses later in life
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The lack of natural processes of delivery and neonatal intensive care treatment lead to impaired cytokine responses later in life. / Martikainen, Maria Viola; Keski-Nisula, Leea; Jakupović, Hermina; Karvonen, Anne M.; Pekkanen, Juha; Hirvonen, Maija Riitta; Roponen, Marjut.
In: American Journal of Reproductive Immunology, Vol. 77, No. 3, e12621, 01.03.2017.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - The lack of natural processes of delivery and neonatal intensive care treatment lead to impaired cytokine responses later in life
AU - Martikainen, Maria Viola
AU - Keski-Nisula, Leea
AU - Jakupović, Hermina
AU - Karvonen, Anne M.
AU - Pekkanen, Juha
AU - Hirvonen, Maija Riitta
AU - Roponen, Marjut
PY - 2017/3/1
Y1 - 2017/3/1
N2 - Problem: Birth-related factors and neonatal treatments could affect the maturation of immune system and thus have lasting effects on immune responses. We investigated the effect of obstetric factors other than being born by cesarean section on immune responses later in life. Method of Study: Regulatory, inflammatory, TH1 and TH2 cytokines, and a chemokine were analyzed in unstimulated and Toll-like receptors (TLRs) 2-, 3-, and 4-stimulated PBMCs of teenagers born by cesarean delivery (CD; N=79). Data on obstetric factors were collected from patient data archives. Results: Advanced cervical dilatation at the time of CD associated with higher unstimulated production of cytokines compared to adolescents who were delivered before the onset of labor. Neonatal intensive care treatment associated with lower unstimulated production of cytokines. Similar associations were found following TLR stimulations. Conclusion: The lack of natural processes of delivery and neonatal intensive care treatment might lead to long-lasting impairment of immune responses.
AB - Problem: Birth-related factors and neonatal treatments could affect the maturation of immune system and thus have lasting effects on immune responses. We investigated the effect of obstetric factors other than being born by cesarean section on immune responses later in life. Method of Study: Regulatory, inflammatory, TH1 and TH2 cytokines, and a chemokine were analyzed in unstimulated and Toll-like receptors (TLRs) 2-, 3-, and 4-stimulated PBMCs of teenagers born by cesarean delivery (CD; N=79). Data on obstetric factors were collected from patient data archives. Results: Advanced cervical dilatation at the time of CD associated with higher unstimulated production of cytokines compared to adolescents who were delivered before the onset of labor. Neonatal intensive care treatment associated with lower unstimulated production of cytokines. Similar associations were found following TLR stimulations. Conclusion: The lack of natural processes of delivery and neonatal intensive care treatment might lead to long-lasting impairment of immune responses.
KW - cesarean
KW - innate immunity
KW - microbes
KW - obstetric factors
KW - TLR
UR - http://www.scopus.com/inward/record.url?scp=85007545256&partnerID=8YFLogxK
U2 - 10.1111/aji.12621
DO - 10.1111/aji.12621
M3 - Journal article
C2 - 28044379
AN - SCOPUS:85007545256
VL - 77
JO - American Journal of Reproductive Immunology and Microbiology
JF - American Journal of Reproductive Immunology and Microbiology
SN - 8755-8920
IS - 3
M1 - e12621
ER -
ID: 253189204